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Fraud in Trade and Ocean Marine Insurance

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According to the American Insurance Information Institute, the insurance industry estimates insurance fraud at about 10 percent of the property/casualty/marine insurance industry’s incurred losses and loss adjustment expenses.
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Fraud in trade and ocean marine insurance 15 May 2013 Markus Spielmann
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  • Fraud in trade and ocean marine insurance

    15 May 2013 Markus Spielmann

  • Agenda

    15.05.2013 2 Fraud in trade and ocean marine insurance, Markus Spielmann

    1. Definition of terms

    2. History

    3. Fraud loss figures

    4. The persons involved

    5. Types of fraud

    6. Countermeasures

    7. Future outlook

  • Definition of terms

    What is fraud ?

    Distinctions and definitions vary, depending on relevant legal system

    Often difficult to prove in court

    In maritime trade / marine insurance, English legal definitions frequently used due to traditional focus on English law

    3 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Definition of terms

    What is fraud ?

    Difficult to distinguish from other types of theft such as

    secret taking of third-party property

    violent appropriation, i.e. robbery / piracy

    Fraud is theft through deception

    property is handed over "voluntarily"

    4 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • History

    Historical accounts are rare, but fraud was documented even in

    ancient times

    > written evidence dates back to 360 B.C.

    > sporadic local incidents up to the 1960s

    > disproportionate increase since the 1970s

    > more violent offences / piracy since 2008/2009

    Cartel of silence among villains and victims

    5 Fraud in trade and ocean marine insurance, Markus Spielmann

    15.05.2013

  • Fraud loss figures

    An estimation of the exact cost of insurance fraud is difficult:

    According to the American Insurance Information Institute, the insurance industry estimates insurance fraud at about 10 percent of the property/casualty/marine insurance industrys incurred losses and loss adjustment expenses.

    6 Titel der Prsentation und Name des Redners 15.05.2013

  • The persons involved

    Seller / purchaser

    Shipowner, charterer

    Master / crew

    Banks / lenders

    Insurance companies

    Brokers / agents

    Original Assured

    7 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • The persons involved

    Methods of committing fraud

    Use of false / forged documents regarding the cargo / carrying vessel Supplying false information or concealing information/ facts Fraudulent bankruptcy / breach of contract Setting up bogus firms to conclude contracts Issue of blank, but signed, B/Ls Issue of two differing B/Ls for one cargo

    8 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Types of fraud

    Basic patterns of (insurance) fraud

    Documentary fraud

    Container fraud

    Scuttling / arson

    Deviation, charter fraud, phantom ships

    9 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Types of fraud

    10 Fraud in trade and ocean marine insurance, Markus Spielmann

    Documentary fraud

    15.05.2013

  • Types of fraud

    Documentary fraud

    Perpetrator is typically the seller

    Agrees sale of goods on Letter-of-Credit basis

    Submits manipulated documents to the bank

    Ships

    worthless materials in the correct weight

    goods of a lower quality than agreed

    absolutely nothing

    11 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Types of fraud

    Documentary fraud

    On the consignee side:

    false authorization to take delivery is presented imposters pose as lawful consignees

    12 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Countermeasures

    13 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Countermeasures

    14 Fraud in trade and ocean marine insurance, Markus Spielmann

    Careful underwriting

    do not get blinded by premium expectations

    check into local economic conditions

    watch out for "critical signals"

    check facts and plausibility of the offer

    dare to query facts with broker/policyholder

    for Insurers:

    15.05.2013

  • Countermeasures

    for Insurers

    Careful claims management

    refuse to be pressurized

    request and check the relevant documents

    look out for critical signals

    make plausibility checks

    check facts on route / means of transport, cargo

    utilize independent investigators

    15 Fraud in trade and ocean marine insurance, Markus Spielmann 15.05.2013

  • Countermeasures

    Monitor worldwide claims tendencies

    Cooperate with organizations such as IMB, national / international police forces

    Exchange information with other parties

    Exchange information with insureds

    16 Fraud in trade and ocean marine insurance, Markus Spielmann

    for insurers

    15.05.2013

  • Countermeasures

    Careful underwriting

    avoid being blinded by premium expectations

    take local economic conditions into account

    look out for "critical signals"

    check facts and plausibility

    Query facts from brokers /ceding company

    17 Fraud in trade and ocean marine insurance, Markus Spielmann

    for reinsurers

    15.05.2013

  • Countermeasures

    Monitor worldwide claims tendencies Cooperate with organizations such as IMB, national / international police forces Exchange information with other insurers and reinsurers Exert pressure on ceding companies for more critical underwriting

    18 Fraud in trade and ocean marine insurance, Markus Spielmann

    for reinsurers

    15.05.2013

  • Future outlook

    People who want to make money through fraud employ modern methods

    and are willing to explore new technologies.

    19 Titel der Prsentation und Name des Redners 15.05.2013

  • Thank you very much for your attention

    Markus Spielmann

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    Fraud in trade and oceanmarine insuranceAgendaDefinition of termsDefinition of termsHistoryFraud loss figuresThe persons involvedThe persons involvedTypes of fraudTypes of fraudTypes of fraudTypes of fraudCountermeasuresCountermeasuresCountermeasuresCountermeasuresCountermeasuresCountermeasuresFuture outlookThank you very much for your attention


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